Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.30 / $1,626.21 / $14,482.00	Facility		$299.30	$1,626.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.09 / $877.50 / $1,863.02	Professional		$254.09	$877.50	$1,863.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.17 / $1,202.81 / $4,031.42	Professional		$375.17	$1,202.81	$4,031.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $594.17 / $1,804.21 / $6,248.29	Professional	50	$594.17	$1,804.21	$6,248.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,190.62 / $2,559.92 / $3,402.34	Facility		$2,190.62	$2,559.92	$3,402.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.24 / $829.78 / $2,890.68	Professional		$365.24	$829.78	$2,890.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $290.07 / $708.75 / $1,598.40	Facility		$290.07	$708.75	$1,598.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $294.29 / $904.18 / $1,914.68	Facility		$294.29	$904.18	$1,914.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $949.28 / $3,131.99 / $7,304.82	Professional		$949.28	$3,131.99	$7,304.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $456.02 / $757.03 / $1,934.94	Professional		$456.02	$757.03	$1,934.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $291.77 / $708.75 / $1,635.68	Facility		$291.77	$708.75	$1,635.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.87 / $1,158.66 / $2,701.59	Professional		$562.87	$1,158.66	$2,701.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $605.67 / $1,705.02 / $8,734.00	Facility		$605.67	$1,705.02	$8,734.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $546.21 / $3,131.99 / $7,304.82	Professional		$546.21	$3,131.99	$7,304.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.80 / $1,477.59 / $4,043.34	Professional		$1,148.80	$1,477.59	$4,043.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $886.00 / $2,451.69 / $3,863.59	Professional		$886.00	$2,451.69	$3,863.59